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open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background:

The current study focuses on the comparison of postoperative muscular strength around the hip joint of patients with femoral intertrochanteric fractures treated either by cephalo-medullary (CM) nailing or a new bipolar hip prosthesis (BHP), an especially attached device to secure displaced greater trochanteric fragment.

Methods:

Twenty patients treated with CM nailing were age- and sex- matched with a control group of 20 patients treated with BHP. Maximum isometric forces at the bilateral hip joint were measured during the follow up period. Means of 3 measurements were represented.

Conclusion:

Our results demonstrate that CM nailing may cause a 25-30% decrease in postoperative muscle strength around the hip joint, particularly during hip abduction. With the new BHP, greater trochanter reduction is achieved allowing early weight bearing and maintaining strength in abduction. Surgeons should consider postoperative muscular strength as one of the necessary factors for selection of the appropriate surgical procedure.

Published Contents

About the Editor

Biography of Philippe Hernigou

Dr. Philippe Hernigou, Ph.D., is currently Professor in the Department of Orthopaedic Surgery at Paris 12 Val de Marne University, Créteil, France. Dr. Hernigou is member of the International Hip Society, SICOT treasurer, member of the French Academy of Surgery, and Past-President of SOFCOT (French Orthopaedic Society). He, as an author/co-author, has been involved in the publication of more than 255 articles in various journals from around the world, having a significant number of total citations, i.e. around 5,130. He has published mainly in the subject areas of Biochemistry, Genetics and Molecular Biology.

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